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Requ�e3st�Number: 8637
Public Works Division
Service Request
Problem Address: 123 63rd way ne Requested By: Larry Overby
Department: WATER Address: No address provid�ed
Problem/Issue: INSTALL AMR METER Phone Number: 612-940-3404
Scheduled Date: 2014-07-30 Scheduled Time: 01:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-29
ACTION TAI�N:
Old meCer#36077854 Old reading: 216 10 New meter#44921309 ERT#351596?1
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Status: Completed Resident Contacted I'"
Date Completed: 2014-07-30 Completed by: RyanJohnson ,
Hours
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Replacement Reading
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. Signed ��
Request Number: 8637
Public Works Division
Service Request
Problem Address: 123 63rd way ne Requested By: Lany O�rby
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-44Q-3404
Scheduled Date: 2014-07-30 Scheduled Time: 01:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-29
ACTION TAI�N:
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Status: Tn Progress Resident Contacted p a
Date Completed: Completed
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, - City of Fridley
, Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees ta do what is necessary to replace the water meter. i understand that the property owner
_ is liable for the water line from the main to the premise and all interior plumbing. (Per City code _
402.06) i also hold the Gty of Fridiey andJits employees harmiess for any amages a may u
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service iine. i understand I am also required to obtain a permit prior to any w+ork,[f
necessary. O n , �r-j��
!( � �
Final meter reading(old meter) d
Name�
Address• ! �� r ��l
Phone Number•
Date• � �f `
Signature:
Witness Signature:
FRIDLEY CITY CUDE
CHAP7ER 402.WATER,STORM WATER,AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord Mo 113,464,565,566,629,638,662,922,988,1144, 1156,1191�
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit fior such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shatt be notified. It shall be unlavufu4 to cover any conriecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
��q�� � • p wa*er service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
� or the occupant or user of such premises shall be liable for all repain required to any water line and sewer lines
necessary for connection o�the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wil!ensure that it remains abave the finished
_ _ _ _ ._.. .. ._ _. .. .
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grade oftheland orproperty._(Ref638,1156;13:91}-_ . .._...._ __...____. . -- -- -_- - . . _ _ _. ...,_.. .